Gerad Clinton House, PA-C

NPI #1164152336 in Boise, Idaho

Provider Information

NPI Number: 1164152336
Entity Type: Individual
Name: Gerad Clinton House, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 12, 2022
Last Updated: Aug 26, 2024

Practice Location

Address: 500 W FORT ST
City: Boise
State: Idaho
ZIP Code: 83702-4501
Phone: (208) 422-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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